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Government Planning: The Federal-Provincial Health Survey Reports*

Published online by Cambridge University Press:  07 November 2014

Malcolm G. Taylor*
Affiliation:
University of Toronto
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Abstract

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Type
Notes and Memoranda
Copyright
Copyright © Canadian Political Science Association 1953

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Footnotes

*

Alberta, Health Survey Committee. A Survey of Alberta's Health. Edmonton: Department of Public Health. 1950. Pp. 150 (processed).

British Columbia, Department of Health and Welfare. Survey of Health Services and Facilities in British Columbia. By G. R. F. Elliot. Victoria: Queen's Printer. 1952. Pp. 79.

Manitoba, Advisory Health Survey Committee. An Abridgement of the Manitoba Health Survey Report. Winnipeg: Queen's Printer. 1953. Pp. 110.

New Brunswick, Health Survey Committee. Report of the Health Survey Committee. Fredericton: The Committee. 1951. Pp. 411 and Appendices (mimeo.).

Nova Scotia, Health Survey Committee. Report on the Survey of Health Facilities and Services in Nova Scotia, 1949-1950. Report on the Survey of Hospitals in Nova Scotia, 1949. By C. B. Stewart. Halifax: The Committee. 1950. Pp. 290; 152 (processed).

Ontario, Health Survey Committee. Report of the Ontario Health Survey Committee. Toronto: The Committee. 1951. Pp. 450.

Prince Edward Island, Provincial Health Planning Commission. A Report Prepared by the Provincial Health Planning Commission for Presentation to the Government of the Province of Prince Edward Island. Charlottetown: The Commission, n.d. Pp. 137 (mimeo.).

Quebec, Department of Public Health. Quebec Health Survey Report. 9 vols. Quebec: The Department. 1951. Pp. 1700 and Appendices (mimeo.).

Saskatchewan, Health Survey Committee. Saskatchewan Health Survey Report. I. Health Programmes and Personnel. II. Hospital Survey and Master Plan. Regina: The Committee. 1951. Pp. 270; 104.

References

1 Canada, House of Commons Debates, 11 24, 1952 (daily edition).Google Scholar Mr. Drew's amendment regretted “that your Excellency's advisers have failed … to conduct inquiries in consultation with the provincial governments, so that necessary information may be available for the dominion and provincial governments to consider joindy a national health insurance program” (p. 33); and Mr. Coldwell's amendment to the amendment regretted “that Your Excellency's advisers have failed to recommend legislation establishing a nation-wide health insurance program, with provision for provincial administration” (p. 54).

2 Alberta, a Legislative Committee (1929) and a Legislative Commission (1934); British Columbia, two Royal Commissions (1919 and 1932) and a Legislative Committee (1935); Saskatchewan, a Legislative Committee (1943) and a Survey Commission (1944); Manitoba, two Select Committees of the Legislature (1932 and 1947).

3 With the exception of the Newfoundland survey which was necessarily begun much later than the others.

4 Proposals of the Government of Canada, Aug., 1945, 31. The grant was, in a sense, a parallel proposal to the planning grants for implementing public works projects under the Public Investment Proposals.

5 Dominion and Provincial Submissions and Plenary Conference Discussions, 198.

6 Ibid., 199.

7 H. of C. Debates, 05 14, 1948, p. 3933.Google Scholar The other grants and their amounts were as follows: (a) General Public Health, $4,395,000; (b) Venereal Disease Control, $275,000; (c) Mental Health, $4,000,000; (d) Tuberculosis Control, $3,000,000; (e) Cancer Control, $3,500,000; (f) Crippled Children, $500,000; (g) Professional Training, $500,000; (h) Public Health Research, $100,000, to be increased by $100,000 each year to a maximum of $500,000; and (i) Hospital Construction Grant, $13,000,000.

8 The allocation formula was altered slightly in 1948 by providing that no province should receive less than $15,000, the effect being to increase the grant to Prince Edward Island from $9,800 to that amount. Changes in grants to other provinces are the result of using the 1947 intercensal estimates of population in place of the 1941 census figures. The distribution of funds under the two formulas was as follows:

9 H. of C. Debates, 05 14, 1948, p. 3933.Google Scholar

10 Manitoba Advisory Health Council; Saskatchewan Health Services Planning Commission.

11 A number of the provincial divisions of the Canadian Medical Association already had established such a consultant relationship in their own provinces.

12 Kelly, A. D., “The National Health Grants: Progress in the West,” Canadian Medical Association Journal, 04, 1949, 405–6.Google ScholarPubMed

13 Bulletin of the Vancouver Medical Association, 10, 1952, 49.Google Scholar

14 Ontario Medical Review, 02, 1949, 34.Google Scholar

15 Kelly, A. D., “The National Health Grants: Progress in the Maritimes,” Canadian Medical Association Journal, 02, 1949, 192–3.Google Scholar

16 See, for example, the Manitoba report (Minister's Letter of Transmittal); the British Columbia report (Foreword); the New Brunswick report (Observation of the Government); and the Nova Scotia report (Introduction).

17 While providing a rather novel approach, this recommendation is based on the realistic observation that probably the greatest single factor dissuading the physician from rural practice (frequently more lucrative than a city practice) is his wife's attitude to local rural social attractions.

18 Commission on Hospital Care, Hospital Care in the United States (New York, 1944), 349403.Google Scholar

19 Report of the Health Survey Committee, 392.

20 Report on the Survey of Health Facilities and Services in Nova Scotia, 277.

21 Ibid., 271.

22 The views of these spokesmen are set forth in the Proceedings of the House of Commons Special Committee on Social Security, 1943, passim. The Model Health Insurance Act was not included in the 1945 Proposals.

23 A National Health Service, Cmd. 6502 (London, 1944), 13.Google Scholar

24 Report of the President's Commission on the Health Needs of the Nation (Washington, 1952).Google Scholar

25 A National Health Service, Cmd. 6502 (London, 1944), 13.Google Scholar

26 It was the intention of some provinces to present briefs on health services at the Federal-Provincial Conference of 1950 called to consider the old-age security proposals, but the gloomy international, military, and financial picture painted by the three federal cabinet ministers in opening speeches apparently dissuaded them from doing so. Some briefs were well prepared.

27 “Health Survey Grant to assist in surveying present health services and facilities including hospitals, and studying ways and means of improving and extending the same.” Order in Council, P.C. 3408, July 28, 1948.